{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T15:01:47Z","timestamp":1771340507531,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,5,6]],"date-time":"2023-05-06T00:00:00Z","timestamp":1683331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Dysplasia surveillance in inflammatory bowel disease (IBD) is often suboptimal and deviates from guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To assess dysplasia surveillance behaviours and adherence to guidelines amongst a large tertiary teaching health network with a specialised IBD unit to identify areas where dysplasia surveillance could be improved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective audit of IBD surveillance colonoscopy practice over an 18\u2010month period was performed using the Provation Endoscopy Database and the hospital's primary sclerosing cholangitis database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The audit identified 115 dysplasia surveillance colonoscopies. A total of 37% of index dysplasia colonoscopies were outside recommended guidelines. A total of 10% had inadequate bowel preparation and only 40% had excellent bowel preparation. A total of 28% of patients underwent dye\u2010based chromoendoscopy and 69% underwent high\u2010definition white\u2010light endoscopy. Dye chromoendoscopy was more likely to be used by IBD specialists than interventional endoscopists (<jats:italic>P<\/jats:italic> =\u20090.008) and other endoscopists (<jats:italic>P<\/jats:italic> =\u20090.004). Only IBD specialists and interventional endoscopists used dye chromoendoscopy. Dysplasia or colorectal cancer was detected in 3.4% of the colonoscopies. Overall, the several dysplasia examinations were lower than expected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Dysplasia surveillance in the IBD population remains an area of improvement given the current national guidelines. IBD specialists are more likely to perform dye chromoendoscopy than other endoscopists\/gastroenterologists. Dysplasia rates in this real\u2010world contemporary setting are less than expected in historical studies and may represent improvements in IBD management principles and medications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.16102","type":"journal-article","created":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T16:04:05Z","timestamp":1682352245000},"page":"96-103","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Identifying the real\u2010world challenges of dysplasia surveillance in inflammatory bowel disease: a retrospective cohort study in a tertiary health network"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6144-1369","authenticated-orcid":false,"given":"Alexander T.","family":"Elford","sequence":"first","affiliation":[{"name":"Monash Health  Melbourne Victoria Australia"},{"name":"The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1283-470X","authenticated-orcid":false,"given":"Ryan","family":"Hirsch","sequence":"additional","affiliation":[{"name":"Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Owen M.","family":"McKay","sequence":"additional","affiliation":[{"name":"Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitchell","family":"Browne","sequence":"additional","affiliation":[{"name":"Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory T.","family":"Moore","sequence":"additional","affiliation":[{"name":"Monash Health  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Bell","sequence":"additional","affiliation":[{"name":"Monash Health  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Swan","sequence":"additional","affiliation":[{"name":"Monash Health  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2011.02639.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-014-3373-2"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2013.05.017"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32545-0"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13122908"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2010.428"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MIB.0b013e3182a74b27"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/hep.26565"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0004-28032013000200021"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2012.01.015"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/liv.13328"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2014.10.030"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ecco-jcc\/jjv141"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2015.01.031"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2019-318484"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2021.05.063"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-1253(21)00101-1"},{"key":"e_1_2_8_19_1","unstructured":"LeongR CorteC KohC WuB KariyawasamV Cancer council Australia surveillance colonoscopy guidelines working party. 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